Running and Sports Shoes for Orthotic Wearers in the UK

Running shoes are, as a category, the most reliably orthotic-compatible shoe type available. The features that runners need happen to be the same features that orthotics need:

• Removable insoles: standard on the vast majority of running shoes.
• Extra depth: built in to accommodate cushioning systems, which also creates room for an orthotic.
• Firm heel counters: essential for running stability, and equally essential for orthotic function.
• Lace-up fastening: universal in running shoes, allowing full adjustment around the instep.
• Wide-fit options: many running shoe brands offer wide and extra-wide fittings as standard.

This makes running shoes an excellent starting point for any orthotic wearer, whether you actually run or simply want a comfortable, compatible everyday shoe.

While running shoes are generally compatible, not all running shoes are equally good for orthotics. Apply the features checklist and pay particular attention to the following:

Good choices:

• Neutral shoes: these provide a flat, stable platform without built-in motion control. Your orthotic does the correction work, so the shoe does not need to.
• Wide toe box: gives your toes room to spread naturally during the push-off phase of running.
• Standard drop (8 to 12 mm): a moderate heel-to-toe drop provides a natural foot position that works well with most orthotic devices.

Use with caution:

• Maximum-cushion shoes: extremely soft, thick midsoles can create an unstable platform that undermines the orthotic. The device needs a firm surface to sit on.
• Carbon plate shoes: designed for racing performance, not for orthotic compatibility. The rigid plate can conflict with the orthotic's corrective function.
• Minimalist or zero-drop shoes: very little cushioning and a flat profile that may not provide enough depth for thicker orthotic devices.

If you already wear a custom orthotic, a neutral shoe is usually the right choice. Here is why.

Stability shoes have built-in features (medial posts, guide rails, firmer foam on one side) designed to control pronation. Your custom orthotic is already doing that job. Putting a corrective orthotic inside a corrective shoe can result in over-correction, which may cause new problems rather than solving existing ones.

A neutral shoe provides a flat, even platform and lets the orthotic do all the corrective work without interference.

Important: always confirm this with your orthotist. There are cases where a stability shoe is still appropriate alongside an orthotic, particularly with certain AFOs or specific biomechanical needs.

Running shoes are the easiest category, but other sports have their own considerations:

• Tennis and court sports: court shoes are generally well-structured with firm heel counters and lateral support. Check for a removable insole, as some cheaper models have glued-in footbeds.
• Cycling: cycling shoes are highly specialised, with stiff soles and specific cleat positions. If you need orthotics for cycling, ask your orthotist about a cycling-specific device. Standard orthotics may not fit or function correctly in cycling shoes.
• Gym and cross-training: a neutral trainer with a removable insole and a flat, stable sole is ideal. Avoid shoes with heavily cushioned or rocker-style soles for weightlifting.
• Swimming: orthotics are not used in water. Pool shoes and aqua shoes are not compatible with orthotic devices.

Can I use the same orthotics for running and walking?

Often, yes. Many orthotists prescribe a single device for both activities. However, some people benefit from a sport-specific orthotic that is designed for the higher impact forces of running. Ask your orthotist whether your device is suitable for the activity you have in mind.

I experience pain when running with my orthotics. Is that normal?

No. Pain when running with orthotics is not something you should push through. It may indicate that the device needs adjusting, the shoes are not compatible, or the orthotics are worn out. Contact your orthotist to discuss the issue.

How often should I replace my running shoes when wearing orthotics?

Running shoes typically last 300 to 500 miles (480 to 800 km). Orthotics can accelerate wear on the midsole, so check regularly for signs of compression or breakdown. See our guide on how long orthotics and shoes last for detailed advice.

Is the advice for gym shoes the same as for running shoes?

Broadly, yes. A neutral trainer with a removable insole and firm heel counter works well for general gym use. The main difference is that for heavy weightlifting, you want a flatter, firmer sole than you would choose for running.

Browse our full Orthotic Shoe Buyer Guide for more detailed advice on every aspect of buying shoes for orthotics.